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General NPI Number Information
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NPI Number | 1013189661
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Entity Type | Organization
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Legal Business Name | SHARON MOWRER COUNSELING AND CONSULTING PC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1415 MAGNAVOX WAY SUITE 120
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City | FORT WAYNE
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State | IN
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Zip | 46804-1565
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Country | US
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Telephone | 260-760-8645
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Fax |
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Provider Business Mailing Address
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Address Line | 7720 GREYMOOR DR
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City | FORT WAYNE
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State | IN
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Zip | 46815-8755
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Country | US
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Telephone | 260-760-8645
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHARON MOWRER
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Credential | LMHC
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Telephone | 260-760-8645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 39001717A
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License Number State | IN
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